DR. DRAKE EXSTROM (NPI# 1407467129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407467129 |
| Entity Type | Individual |
| Full Name | DR. DRAKE EXSTROM |
| Credential | DDS |
| Practice Address |
2315 North Bechelli Ln Suite A Redding CA 96002 |
| Mailing Address |
400 Whitehall Rd Apt D Alameda CA 94501-6115 |
| Practice Telephone | 5302236000 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 105289 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1411 E 31st St Ste E2, Oakland, CA 946021018 | 5104374101 |
| Street Address |
2315 NORTH BECHELLI LN SUITE A |
| City | REDDING |
| State | CA |
| Zip Code | 96002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048037 | Daniel Eli Bartee | Counselor | 555 Leila Ave #44, Redding, CA 96002 | 2020-09-17 |
| 1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 2018-05-07 |
| 1528510153 | Daniel Conklin | Pharmacist | 2880 Churn Creek, Redding, CA 96002 | 2016-10-31 |
| 1740653864 | Votc, Inc. | Substance Abuse Rehabilitation Facility | 3590 El Portal Dr., # 7, 8, 9, 10, 15, 16, & 17, Redding, CA 96002 | 2015-11-11 |
| 1801226253 | Katie Marie Mccullough-stubbs | Marriage & Family Therapist | 3300 Church Creek, Redding, CA 96002 | 2013-11-21 |
| 1801234026 | Kathy Lynne Hawk | Community Health Worker | 2051 Hilltop Dr A-13, Redding, CA 96002 | 2013-06-10 |
| 1619247590 | Wright Education Services | Social Worker | 2660 Victor Ave, Redding, CA 96002 | 2012-01-09 |
| 1275828840 | Shannika Tricia Dao | Dentist | 2695 Bechelli Ln, Redding, CA 96002 | 2011-06-13 |
| 1336442664 | Small Talk Pediatric Services, Inc. | Speech-Language Pathologist | 2526 Goodwater Ave., Suite A, Redding, CA 96002 | 2010-12-08 |
| 1427293299 | Darren A Smith | Marriage & Family Therapist | 3402 Bechelli Ln Ste E, Redding, CA 96002 | 2008-12-09 |
| Find all providers in zip 96002 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689148215 | Western Dental Services, Inc. | Dentist | 1667 Hilltop Dr Ste E, Redding, CA 96002-0240 | 2019-01-16 |
| 1821520123 | Cass Family Dentistry | Dentist | 3320 Churn Creek Rd, Redding, CA 96002-2525 | 2017-03-28 |
| 1629467113 | Ann Malotky, Dds., Inc. | Dentist | 1800 Buenaventura Blvd, Suite 100, Redding, CA 96001-3700 | 2015-01-21 |
| 1760891543 | Li Min Hou, Dds, A Professional Corporation | Dentist | 1627 Hilltop Dr, Suite A, Redding, CA 96002-0252 | 2014-08-06 |
| 1568870723 | Rachel Lauren Barnhart | Dentist | 2190 Larkspur Ln Ste 100, Redding, CA 96002-0636 | 2014-07-31 |
| 1801145248 | Jessica Lee | Dentist | 1635 Pleasant St, Redding, CA 96001-2330 | 2012-08-30 |
| 1174803308 | Eric Howard Frederiksen | Dentist | 6640 Waterford Dr, Redding, CA 96001 | 2011-08-19 |
| 1275828840 | Shannika Tricia Dao | Dentist | 2695 Bechelli Ln, Redding, CA 96002 | 2011-06-13 |
| 1912298431 | Western Dental Services, Inc | Dentist | 1310 Churn Creek Rd, Suite E3 - E4, Redding, CA 96003-4004 | 2011-05-02 |
| 1871824540 | Carlos Flores Lavenant | Dentist | 2147 Court Street, Redding, CA 96001 | 2010-01-20 |
| Find all providers in REDDING | ||||
Please comment or provide details below to improve the information on DR. DRAKE EXSTROM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.